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General NPI Number Information
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NPI Number | 1760771620
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Entity Type | Individual
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Provider Name | TINA J SCOTT DC
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Gender | Female
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 2845 N MILITARY TRL
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-2955
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Country | US
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Telephone | 561-779-9715
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Fax |
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Provider Business Mailing Address
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Address Line | 52 77 CANOE BEND DRIVE
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City | LAKE WORTH
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State | FL
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Zip | 33463-7447
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Country | US
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Telephone | 561-799-9715
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 7613
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License Number State | FL
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